netp case presentation - christchurch hospital · criteria . where to start ... impact on your...
TRANSCRIPT
NETP INTERNET
http://www.cdhb.govt.nz/Hospitals-Services/Health-Professionals/netp/Pages/default.aspx
PRESENTATION DATES
• Group A 28th October 2014
• Group B 29th October 2014
• For those doing the Child Health Paper
‘The Acutely Unwell Child’, you do not have
to do this presentation.
REQUIREMENT
• Research and present and Case Study
• Demonstrating a nursing focus the incorporates holistic assessment skills, clinical reasoning, evidenced based research and reflection on practice
• Presented to your peers and to Nurse Educators
• Use of medical terminology,
• Do not use slang
• Do not be disrespectful or flippant
• Assessed by two Nurse Educators who have completed assessor training or equivalent.
• Two assessors are used to ensure a fair process, and provides moderation.
• A minimum of 60% must be achieved
• 10 minutes presentation and 5 minutes question time (15 minutes total)
you will be asked to stop
• Emailed through prior to presentation date.
PRESENTATION FORMAT
• Power point
• Prezi
• Posters
• Pamphlets
• Hand-outs
• Directly speaking
• Skit
• If you are using
• You tube
• DVD
• Sound
• White board
• You need to let us know prior to presentation or this may not be available
• You may want to use props or provide hand outs
CONSENT
• Before gathering any information
• Gain consent from you intended patient, fully informing them of your intention
• Offer them an ‘opt out’ option
• Highlight that you will be accessing their notes, blood results etc.
• Use ‘permission for use of patient information form’
• Original is sent to Yvonne Thorpe, NetP Office, 5th Floor, TPMH • Kept on file for 18months
• To copy or not to copy
WHERE TO START
• Decide on your patient
• Consent
• Gather patient information
• HSCV
• Clinical Notes
• Patient interview
• Maintaining privacy
• What if you need further
information and the clinical
notes are in Medical Records?
• Decide on your topic for
pathophysiology
• Perform literature search
• Evidence of well balanced
reading
• How many articles?
• Formulate your presentation
IN THE BEGINNING
• Orientate your audience to what
will be presented
• Include
• Your name
• Topic
• Aims/objectives
• Confirmation of consent
HOLISTIC NURSING ASSESSMENT
• Use a chronological approach
• Presenting complaint/contributing
factors is always a good place to
start
• Use an appropriate assessment tool
• Review of systems appropriate to
complaint.
• Lifestyle factors appropriate to illness identified
• Don’t forget social, psychological,
physical, spiritual, cultural and developmental factors
• Medications, OTC, remedies
• Past medical and surgical history
• Family history
• Relevant to presenting complaint
• Initial examination findings
PATHOPHYSIOLOGY
• Expected to be evidenced based
supported by literature
• Focus on one component, keep the
window narrow.
• Patient focused
• Use relevant literature
• Utilise librarians
• Utilise library resource on intranet
• Use Google scholar if using Google and recognised nursing/medical
sources e.g. BMJ
• Don’t use Wiki etc
DIAGNOSTICS, TREATMENTS & INTERVENTIONS
• Nursing focus
• All relevant significant findings
• Abnormal and normal
• Identifying variants
• What was done to confirm diagnosis
• Tests performed and why
• What interventions were carried out
• Surgery, IVAB’s, Debriding of wound
etc.
• Remember your audience may
have no idea of your speciality
area.
NURSING CARE
• Care Plan inclusive of patient and
whanau
• Has nursing focus
• What have you done for this person
while they are in your care
• Be careful using unit care plans as
they can be cumbersome and you
may not be able to get through it
all.
• Speak to your plan
• Inclusive evaluation of contributing
factors
• Education
• Referrals
• Medications
Treaty of Waitangi
• Relates to Maori patients not other
cultures
• Identify if your patient is not Maori
and what you would implement to
meet these principles if they were
• 3P’s
• Include the patient in what you
present
Cultural Safety
• Relates to all other cultures
• Even if your patient may not want
Chaplin service you still need to
discuss other things you would
implement
• Socialisation to the ward, identifying
toilets, call bells, nurse station etc.
• Privacy
• Interpreter
INCLUDE IN YOUR CARE PLAN…
EVALUATION/OUTCOME
• Evaluate the care plan – did they
progress as expected
• Do they have continual deficit and require ongoing care
• Do they have an understanding of
event/illness
• Do they understand discharge advice
and ongoing therapies
• Do they know what to do once home
• Do they have follow up appointments
IMPACT ON PRACTICE
• You need to discuss the impact on
your practice and development
• What has it meant for you looking
after this patient
• Are there areas you would like to
have done better
BEST PRACTICE & QUESTION TIME
• Best Practice
• Case study needs to be supported
by best practice
• Literature
• Policies
• Guidelines
• Articles need to support rationale
for care
• Reference list APA 6th edition
• Question Time
• Provide question time
• We encourage your fellow
presenters to ask questions, if they
don't the assessors will
• Questions asked by peers can impact on your final mark in a
positive way
• Questions asked by assessors will not
impact on final mark